腹腔镜胆囊切除术后短时间应用舒芬太尼镇痛的效果

Short-term Application of Sufentanil Analgesia after Laparoscopic Cholecystectomy

目的研究探讨舒芬太尼应用于腹腔镜胆囊切除术后短时间的镇痛效果。方法选取腹腔镜胆囊切除术的病患70例,随机将其分为两组,每组35例,其中一组术后24h给予舒芬太尼镇痛设为24h组,另一组术后48h应用舒芬太尼镇痛设为48h组,对两组病患术后各时间点的疼痛评分,镇静评分以及不良反应率进行比较分析。结果两组病患术后6h、24h的镇静评分比较无明显差异(P> 0.05),但24h组术后36h、48h的镇静评分明显低于48h组(P<0.05);且24h组的不良反应情况明显优于48h组(P<0.05)。结论在腹腔镜胆囊切除术后24h应用舒芬太尼的镇痛效果与术后48h的镇痛效果一致,且具有镇静时间短以及不良反应少等优点,有利于病患的术后恢复,值得推广。

Objective To investigate the short-term analgesic effect of sufentanil after laparoscopic cholecystectomy. Methods Seventy patients with laparoscopic cholecystectomy were randomLy divided into two groups, 35 patients in each group. One group of patients received sufentanil analgesia 24 h after operation. The other group of patients were treated with sufentanil analgesia 48 h after operation. The pain score, sedation score and adverse reaction rate were compared between the two groups. Results There were no significant differences in sedation scores between the two groups at 6 h and 24 h after operation(P>0.05), but the sedation scores at 36 h and 48 h after 24 h were significantly lower than those in the 48 h group(P<0.05). And the adverse reactions in the 24 h group were significantly better than those in the 48 h group(P<0.05). Conclusion The analgesic effect of sufentanil 24 hours after laparoscopic cholecystectomy is consistent with the analgesic effect at 48 hours after surgery, and it has the advantages of short sedation time and less adverse reactions, which is beneficial to the postoperative recovery of patients, it is worth promoting.